I vun chu a rawn sen ta em? Cyanosis chungchang hi han sawi ila!

Mi thenkhat vun, hmui emaw, nail emaw chu a sen vek tih i hmu ngai em? A nih loh leh nang pawhin i nei ve mai thei bawk. Hei hi damdawi lama cyanosis an tih chu a ni. Cyanosis hi eng nge ni tak tak? Engvangin nge hetiang hi a lo awm? Vawiin hian chipchiar takin sawi ila, thian nena kan inbiakna ang maiin.

Cyanosis chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, cyanosis chu i thisenah oxygen tlem a awm laiin i vun, hmui emaw, i kut zungtang emaw chu a sen hring hring a nih hian a ni. Vun rawng dum zawk i neih chuan he bluish tinge hi i hmui, i hmui, i kut zungtang leh i mit vel ah a langsar zawk mai thei. ‘Cyanosis’ tih thumal hi ‘cyan’ tih atanga lo chhuak a ni. Cyan hi blue-green rawng a ni.

Hetiang hian han ngaihtuah teh. A tlangpuiin kan thisen sen (red blood cells) hian kan taksa peng tinah, tissue tinah oxygen a phur a. Heng thisen sen (red blood cells) te hi oxygen tha tak an neih chuan an sen hring dup thin . Cherry puitling mawi tak ang maiin. Chuvangin, he oxygenated thisen hi kan taksa pum puiah a kal chuan kan vun hian pink emaw light red emaw rawng a nei thin. Chutiang chu healthy look chu a ni.

Mahse, eng emaw chhan vanga thisen chuan oxygen a dawng tlem a nih chuan , chu chu oxygen level a hniam chuan, chu thisen sen hring dup chu a dum deuh deuh a, bluish purple ang maiin a lo dum ta a ni . Chuvangin, he thisen dum oxygen tlem zawk hi taksaah a kal chuan vun, hmui leh nail te chu a sen angin a lang tan thin. He rawng dum hi taksaah hian khawiah nge a tam ber tih hriat hian eng nge a thlen tih hriatchhuah nan min pui thei a ni.

Cyanosis tih awmzia chu eng nge ni? A serious em?

Cyanosis hi i taksa peng hrang hrang, i taksa peng hrang hrangte leh i taksa peng dangte’n hna an thawh that theih nan oxygen an dawng tlem tih chhinchhiahna a ni . Thingkung tui tel lova a hring vek ang mai a ni. Kan taksa pawh hian oxygen tel lo chuan a ti thei lo.

Hetiang cyanosis natna thlentu hi thil chi hrang hrang leh chhan hrang hrang a awm a. A chang chuan vun dum leh hmui dum hi thil pangngai, hlauhawm lo tak a ni thei. Entirnan, khaw lum nasa tak i tawrh lai pawhin a thleng thei. Mahse, natna thenkhat chu a nasat em avangin emergency medical treatment a ngai thei a ni . Chuvangin, cyanosis chhinchhiahna i hmuh chuan ngaihthah a tha lo.

Cyanosis awm chhan hi kan lung, thinlung emaw, central nervous system (chu chu thluak leh ruhro) nen a inzawm ber thei a ni.

Cyanosis chi hrang hrangte chu engte nge ni?

Cyanosis hi chi thum a awm a. Eng nge an nih hi han thlir ila:

1. Ka vel chauh a blueness - Circumoral Cyanosis

Hei hi i hmui emaw, i hmui vel emaw chauh a rawn sen lai a ni.Hei hi a chang chuan perioral cyanosis an ti bawk.

Naute han mitthla teh, a vawt deuh chuan a hmui chu a sen mai thei. This is normal for newborn babies , chuvangin ngaihtuah tur a ni lo. Eng nge i hria em? Khawsik kan tawrh hian kan taksaa thisen kalna kawng te te, thisen kalna kan tih te hi a inzawm khawm deuh thin. Tichuan thisen kal chu a tlahniam deuh a, chuvang chuan oxygen supply a tlahniam ta a ni. Chuvang chuan hmui chu a rawn sen chhuak ta a ni.

Naupang kum upa zawk pawh, entirnan, ni khaw vawt tak kara pawn lama an inkhelh lai emaw, Nuwara Eliya ang hmuna zing khawvar hmaa an awm lai emaw pawhin an hmui chu a sen thei a ni. Hei hi taksa a lum chuan rei vak lo hnuah a reh tlangpui.

2. Ke ruhte rawng dum - Peripheral Cyanosis

In this type , kut, kut zungtang, ke ruh, leh/ emaw ke ruh chauh hi a sen vek thin. Hmun lum takah i awm tawh a, socks emaw stocking emaw i ha lo em ni? I kut leh ke chu a sen thei a, i rilru a buai thei bawk. Hei pawh hi chutiang bawk chu a ni.

Hei hi nunna atana hlauhawm a ni lo tlangpui . Mahse, a chhan hriat chian a pawimawh a, a châng chuan a chhan bulpui ber chu enkawl vat a ngai thei a ni. Chutiang a nih loh chuan permanent damage a awm thei.

3. Taksa zawng zawngah a sen vek - Central Cyanosis

Hei hi a chi dang pahnih aiin a na zawk deuh thei a ni . Central cyanosis-ah chuan ke ruh bakah taksa peng dangte pawh a sen vek bawk . Entirnan, rilru, hmui, lei, hmui leh hmui ang chi hmun te.

Hei hi thinlung, lung, a nih loh leh thisen dinhmun khirh tak avânga lo awm a ni fo . Chuvangin, heng symptoms te hi i neih chuan doctor pan nghal a pawimawh hle .

Cyanosis natna lan chhuah dan chu engte nge ni?

A symptom ber chu vun a bluish tinge a ni . He bluish tinge hi i hmui, i lei, i hmui, i beng leh i kut zungtang ah te pawh hmuh theih a ni.

Vun dum i neih chuan cyanosis hi a dum emaw, a dum emaw a lang thei. Ka hmui, lei, hmui, kut zungtang leh mit vel ah a langsar ber.

Cyanosis hi a tlangpuiin damdawi lam natna dang a nih avangin, a chhan bulpui a zirin chhinchhiahna dang pawh i nei thei bawk. Chung zinga ṭhenkhat chu:

• Taksa lumna hniam (Hypothermia) .
• Kut leh kea natna emaw, tingling sensation emaw a awm
• Khuh
• Wheezing ( thawk chhuah laiin rilru chhungril atanga thawm lo chhuak ) .
• Thâwk harsa
• Luak chhuak thei
• Chau lutuk tih hriat (Fatigue) .
• Chaklohna

Cyanosis hi eng ang nge a nih?

Cyanosis i neih chi hrang hrang a zirin i vun, i hmui, i lei, i hmui, i mit, emaw, i nail-te chu blue emaw purple emaw chi hrang hrang a lang thei a ni . Sawi tawh ang khan vun dum i neih chuan hei hi a dum emaw, a dum emaw a lang thei .

Cyanosis awm chhan hi engte nge ni?

Cyanosis thlentu ber chu i thisenah oxygen a tlem vang a ni . Hei hi thil pahnih avanga lo awm thei a ni: i thisenah oxygen a tlem tak tak emaw, i thisen kalna kawngte chu khawsik nasa takin a tawk emaw a ni thei.

Ngaihtuah teh, kan taksa peng leh taksa peng hrang hrangte hi kan taksaa thisen kal zel hian a lum reng a ni. Amaherawhchu, boruak a vawt em em a nih chuan, kan taksa lumna chu a pangngaia vawn reng theih nan, kan kut, ke leh beng chhunga thisen kalna kawngte chu a inkhai khawm thin. Hei hian thisen kal a ti tlem a, chu chuan a rawng dum (blish color) a siam thei a ni.

Thisenah oxygen tlakchhamna thlen thei dinhmun leh chhan dang tam tak a awm bawk:

Thli kawng lama harsatna a awm

• A rilru a hah lutuk . Entirnan, chaw ei avanga chok.
• Vocal cord vel a hring (e.g., croup) .
• Thlipui hrual khuh tu, rilru chhunga flap ang chi epiglottis-a natna hrik leh hliam.

Lung harsatna a awm

• Thliah oxygen tlem zawk awmna hmun sang (tuipui atanga hla tak)-a kal .
• Asthma natna a ni.
• Thluak lam natna hrik .
• Lung chhunga artery pakhata thisen zam (pulmonary embolism).
• Chronic Obstructive Pulmonary Disease (COPD) (hun rei tak chhunga natna awm thei).
• Pulmonary hypertension (lung chhunga thisen sang sang).
• Pneumonia `(Pneumonia)` tih hi a ni .

Lung lam harsatna a awm

• Congenital heart defects , chu chu double outlet right ventricle leh tetralogy of Fallot te hi a ni.
• Lung lam natna (congestive heart failure) a awm thei.
• Lung hnathawh tihtawp nghal (cardiac arrest ).

Cyanosis thlentu dangte

• Thawmhnaw tight hak avanga thisen kal khap .
• Khaw lum nasa tak karah a awm .
• Raynaud-a phenomenon , thisen kalna kawngte chu a zim nghal vek.
• Thisen sang enkawlna atana hman damdawi thenkhat .
• Seizures a awm thin .
• Ruihhlo hman tam lutuk.
• Thil tha lo tak tak nena inzawmna .

Cyanosis hi engtin nge kan hriat theih ang?

Cyanosis hi symptom a nih avangin i doctor chuan a chhan bulpui ber chu eng nge ni tih chiang takin a hre duh ang .

A hmasain doctor chuan taksa a enfiah ang . Tichuan i symptoms te an zawt ang che. Zawhna an zawt thei a, chungte chu:

• Engtik lai khan nge he rawng dum hi i hriat hmasak ber?
• Hei hi a lo thleng nghal em ni, a nih loh leh a pung zauh zauh em?
• I taksaah khawiah nge blue a awm?
• Tun hnaiah khawi hmunah pawh i zin tawh em? (a bik takin hmun sang takah) .
• Thâwk lak harsa i ti em?
• I kut emaw i ke emaw a hring em?
• Eng symptom dang nge i neih?

Cyanosis hmuhchhuah nan eng test nge hman thin?

Doctor chuan cyanosis awm chhan hriat tumin test hrang hrang a ti thei a ni. Chûng zîngah chuan thisen, lung, leh thinlung test te pawh a tel thei:

• Pulse oximetry: Hei hian i kut zungtang-ah hmanraw te tak te (clip ang chi) i bun a, i thisena oxygen awm zat tehna a ni. A na lo.
• Arterial blood gas analysis (ABG): Hei hian i arteries (thisen oxygen tamna ber) atanga thisen sample tlemte lak a, a chhunga oxygen leh thil dang awm zat tehna a ni.
• Chest X-ray hmanga enfiah a ni .
• Chest computed tomography (CT) hmanga enfiah a ni .
• Thisen chhiar (CBC) test kimchang .
• Electrocardiogram (EKG/ECG): Hei hian thinlunga electric hnathawh dan a teh a.
• Echocardiogram: Hei hi thinlunga ultrasound test a ni. Thinlung insiam dan leh hnathawh dan a en thei a ni.
• Pulmonary function tests (PFTs): Hengte hian lung natna hriatchhuah nan a pui thin.
• Cardiac catheterization: He test hian thinlung natna thuk taka hriat theih nan a pui a ni.

Cyanosis hi engtin nge enkawl a nih?

Cyanosis hi damdawi lam thil chi hrang hrang avanga lo awm a nih avangin, i enkawlna tur chu i cyanosis awm chhan a zirin a innghat ang .

I doctor in enkawlna hmasa ber pakhat chu oxygen therapy a ni . Hei hi oxygen extra pek che a ni a, rang takin i thisena oxygen level a tisang a ni. I dinhmun a nasat dan azirin thawkna machine (ventilator) i mamawh mai thei.Mahse, a tul mai thei.

Enkawlna dangte chu:

• Heat leh massage: Khawsik emaw Raynaud’s phenomenon ang chi emaw avanga cyanosis lo awm chu a natna hmunte chu lum a, zawi zawiin massage hmangin a reh thei.
• Antibiotics: Pneumonia ang chi natna hrik tan antibiotics pek theih a ni.
• Damdawi dang: I doctor chuan thinlung leh lung natna enkawlna atan damdawi dang a pe thei bawk.
• Damdawi ei khap: A châng chuan, he natna hi damdawi i ei mek ṭhenkhat avanga lo awm a nih chuan, i doctor chuan chu damdawi ei tawh loh turin a fuih thei che a ni.
• Inhalers: Cyanosis hi lung natna, Asthma emaw COPD emaw avanga lo awm a nih chuan lung hnathawh that zawk nan inhalers pek theih a ni.
• Surgery: Congenital heart conditions, Tetralogy of Fallot ang chi te hi nau piang hnu rei vak lovah operation neih a ngai thei.

Engtin nge ka in enkawl ang?

Khawsik emaw, Raynaud-a thil thleng ang chi emaw avanga cyanosis i neih chuan i nunphungah inthlak danglamna engemaw zat i siam a ngai mai thei .

I chhuah hunah, a bik takin ni lum laiin, i inchei lum tur a ni . In lama i awm lai pawhin pindan chu vawt takin vawng reng ang che. A pawimawh ber chu i taksa lum tir hi a ni .

Tin, meizuk i nih chuan i chawlhsan vek tur a ni . Caffeine awmna in tur (tea leh coffee ang chi) ei tlem rawh . A chhan chu caffeine leh nicotine te hian i thisen kalna kawng a ti tawi vek a ni. Hei hian cyanosis vei theihna a tipung a ni.

Cyanosis hi ven theih a ni em?

Cyanosis thlentu tam tak a awm avangin a zawng zawng hi ven theih a ni lo. Mahse, he natna hi i vei theihna tur tihtlem nan thil engemaw i tih theih a awm a:

• I thisen kal khap thei damdawi i ei a nih chuan i doctor nen sawiho la, a tul chuan tihtawp dan tur thurawn la rawh.
• Meizial zuk loh tur.
• Caffeine ei tam lutuk kha tihtlem rawh.
• Khaw lum hmuna i kal hunah chuan inchei lum takin inchei rawh , a bik takin i beng, kut zungtang, leh hnar ang chi hmunte chu khuh rawh.

Cyanosis ka neih chuan eng nge thleng ang?

I cyanosis result chu a chhan leh enkawlna i zawn thuai danah a innghat a ni .

Hei hi nunna atana hlauhawm a ni lo tlangpui a, mahse he rawng dum nen hian symptom dang i neih chuan emaw, i lum leh chawlh lai pawhin cyanosis i vei a nih chuan,Doctor hmu ngei ang .

Engtikah nge damdawi lam thurawn ka lak ang? Emergency a ni em?

Cyanosis hi natna chi hrang hrang leh harsatna hrang hrang avanga lo awm thei a ni. Ṭhenkhat chu a dang aiin an serious zawk. I vun rawn sen ruala a hnuaia symptoms te hi i neih chuan i hnai ber damdawi in emergency department-ah kal nghal la, a nih loh leh 1990 ah call rawh :

• Thâwk harsa
• A rilru a na
• Lu na fo thin
• Chau
• Buaina (mood swings) .
• Khawsik
• Thaw tam lutuk (hyperhidrosis) .
• Thisen emaw, mucus rawng dum emaw khuh
• Kut, kut zungtang emaw, kut zungtang emaw natna emaw , rilru hahna emaw.

I naute emaw, naupang tê emaw hian heng symptoms hi cyanosis neiin a nei em?

I naute emaw, naupang tê emaw hian cyanosis leh a hnuaia symptoms te hi a neih chuan damdawi in hnai ber pan nghal la, a nih loh leh 1990 ah call rawh :

• Thâwk harsa
• Bawnghnute in emaw ei emaw harsatna
• Thâwk chhuah laiin hnar (nostril flaring) a chhuak
• Thâwk chhuah laiin rilru indrawing (swelling).
• Thâwk rang tak
• Thâwk chhuah laiin thawm ri
• Chau
• Mut harsa emaw, harh fo emaw
• Taksa a limp
• Hahdam lohna nasa tak, thinrimna (Irritability) .

A tawp berah chuan hriat reng tur (Take-Home Message) .

Cyanosis hi i thisenah oxygen a awm loh laiin i vun, i nail emaw, i hmui emaw a sen vek thin a ni. Hei hian chhan tam tak a nei thei a ni. A na lo fo lo nain, cyanosis hi a châng chuan a hnuaia dinhmun khirh tak chhinchhiahna a ni thei .

Chuvangin, nangmah emaw i fa emaw hian cyanosis hi a natna lan chhuah dan dang, thawk harsatna ang chi te nen i neih chuan damdawi lam thurawn lak nghal a pawimawh hle Chumi hnuah chauh chuan result tha ber i hmu thei ang. Hlauthawng suh, fimkhur zawk rawh.

` Cyanosis, vun sen, oxygen tlakchham, thawk harsa, thinlung natna, lung natna, symptoms